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Terms of Reference – Consultant

Social Protection and Health Division. Support of the Strengthening of Public Health, Primary Care Services and Information Technology Strategies to Address Non-Communicable Chronic Diseases.

Development of strategic action plan to operationalize the chronic care implementation framework

The team’s mission: The Social Sector (SCL) is a multidisciplinary team convinced that investing in people is the way to improve lives and overcome the development challenges in Latin America and the Caribbean. Jointly with the countries in the region, the Social Sector formulates public policy solutions to reduce poverty and improve the delivery of education, work, social protection, and health services. The objective is to advance towards a more productive region, with equal opportunities for men and women, and greater inclusion of the vulnerable groups.

The Social Protection and Health Division (SPH) is  committed to the preparation and supervision of IDB operations in borrowing member countries in the areas of social protection (safety nets and transfers and services for social inclusion which include: early childhood development, youth programs, care services for dependency, among others), health (health capital investment strategies, health networks strengthening, health system financing, organization and performance, among others) and nutrition.


The Division of Social Protection and Health is looking for a professional with background in health care administration, public health or health care management.

Background: This technical cooperation (TC) is designed to support the implementation of the hybrid operation consisting of a programmatic policy-based loan (PBP) (JA-L1080, 4669/OC-JA) and an investment loan (JA-L1049, 4668/OC-JA) for US$50 million each that together comprise the “Support for the Health Systems Strengthening for the Prevention and Care Management of Non-Communicable Diseases (NCDs) Programme.” 

The programme objective is to contribute to the improvement of the health of Jamaica’s population by strengthening comprehensive policies for the prevention of NCDs risk factors and improved access to an upgraded and integrated primary and secondary health network in prioritized areas with an emphasis on chronic disease management, that provides more efficient and higher quality care.

The PBP has three components. 1) To maintain an appropriate macroeconomic policy framework consistent with the project. 2) To promote the development of policies and regulatory measures to tackle the primary NCDs risk factors (unhealthy diet, overweight/obesity, physical inactivity, alcohol, and tobacco consumption). 3) To reinforce policies and regulatory measures to improve NCDs management by reorienting the healthcare services towards a people-centred chronic care model (CCM). This component also addresses the foundation of the National Plan of Action for Information Systems for Health (IS4H). IS4H includes the development of governance, infrastructure, information architecture, and policy to support interoperability standards across components of the information system to facilitate tracking of patients, a referral system, modules to support NCDs self-care and follow-up.

The investment loan reinforces the infrastructure and organization of health services and improves the quality and efficiency of care for NCDs through two components

Component 1 strengthens the organization and consolidates integrated health services networks through financing upgrade and expansion of three hospitals, replacement of three primary care clinics and renovation of seven more within the catchment areas of the hospitals (see figure). It includes improvements in infrastructure and equipment.

Component 2 improves management, quality, and efficiency of health services. This component provides technical assistance to design and implement the CCM in the intervention area, develop care pathways and protocols, and prepare change management, continuous quality improvement and social marketing for behaviour change strategies. It also finances the fourth Jamaica Health and Lifestyle Survey. This component also supports the operationalization of the IS4H plan. In this regard, it finances the implementation of the IS4H National Policy by establishing a strong foundation for a digital health ecosystem that includes the design and implementation of the electronic health record (EHR) platform and strengthens telehealth, telemedicine and telementoring capacity of the MOHW.

The PBP benefits the whole Jamaican population, whereas the investment loan has approximately 1.3 million potential direct beneficiaries (about 45% of the population) who reside in the catchment areas of the health services networks.

In this context, the Ministry of Health and Wellness with collaboration from the Pan-American Health Organization (PAHO) is building the National Chronic Care Model policy that will support the implementation of the CCM in the Jamaican health system. The implementation framework is the necessary step before putting in operation the CCM.  In turn, the implementation framework requires a strategic action plan to define how, and when the CCM will be operating in the clinics and hospitals.

The main objectives of this consultancy are to create the action plan to operationalize the implementation framework of the CCM health settings of the intervention area.


Scope of Work:

In the context of the implementation framework for the CCM, the consultancy to build the action plan entails activities that must be carried out with the full involvement of the MOHW authorities. These activities include, but may not be limited to, the following:

  1. To define SMART objectives aligned with the National Chronic Care Model policy and the CCM implementation framework and pertinent to the clinics and hospitals including those in the intervention area.
  2. To examine the results of the situational analysis of the clinics, hospitals and regions, and the procedures to manage NCDs patients. This information will be useful to learn about the structure, organization, personnel, and processes of care for NCDs.
  3. To identify the health team within the regions and clinical settings that will operationalize the CCM. This activity will allow gaining knowledge of the health personnel available to carry out the different activities to implement the intervention. It should include the staff at the regions and health settings that work in the areas of communication, training, process analysis, monitoring and performance evaluation.
  4. To develop the strategic action plan components and its corresponding activities:
    • To define the required care processes including the reorganization of processes according to the conditions of each clinic. This activity includes modifications of health personnel activities and interaction between clinics and hospitals through the referral system and community participation
    • To design the communication strategy of the CCM with regional and local authorities, users and health providers. 
    • To develop the training program for health personnel including those that work in the intervention area.
    • To define the monitoring and follow up activities.
    • To determine the phases of the strategic action plan, timeline and milestones
    • To identify the barriers and propose the strategies to overcome such barriers to operationalize the CCM.
    • To estimate of the cost to implement and sustain the CCM.

The consultant will need to coordinate and collaborate with the MOHW national, regional and local authorities and other consultants that will work on the development of quality of care indicators of clinical care processes, and on the data management strategy that is part of the development of the electronic health record.

The consultant will be entirely responsible for the presentation of all products and for obtaining all inputs necessary for the preparation.


Reports and deliverables

The consultant must present the following products as documents with supporting data in acceptable format according to the indicated schedule

1 Work program with timeline, program of facility visits, list of proposed meetings with MOHW national, regional and local staff 10 days after contract signature
2 First draft of plan to include: Activities to reorganize the care processes and communication strategy 100 days after contract signature
3 Second draft of plan to include: Training program for health providers and managers 160 days after contract signature
5 Comprehensive action plan to include deliverables 2-3 and monitoring and follow up activities, timeline and budget of the strategic action plan 180 days after contract signature

 Every report must be submitted to the Bank in an electronic file. The report should include cover, main document and all annexes when appropriate.


Payment Schedule

The consultant payments match the products and schedule described in the previous section, as follows:

1 Work program with timeline, program of facility visits, list of proposed meetings with MOHW national, regional and local staff 10%
2 Document with activities to reorganize care processes and the communication strategy of the action plan 40%
3 Document with the activities to reorganize care processes and the communication strategy of the action plan and the training program for health providers and managers 20%
4 Comprehensive action plan to include deliverables 2-3 and monitoring and follow up activities, timeline and budget of the strategic action plan 30%


What you’ll need:


  • You are either a citizen of Jamaica or a citizen of one of our 48-member countries with residency or legal permit to work in


  • Education: Graduate degree in public health, health care management or epidemiology would be desirable and at least three years of relevant professional experience or a Bachelors degree with a minimum of five years of relevant professional experience.
  • Experience: Managerial/clinical and teaching experience in health sector; experience as manager/administrative/director of health facilities; knowledge of the Jamaican health system.
  • Languages: Ability to read, write and speak English and the other official languages of the Bank if required.


Core and Technical Competencies:

Strong quantitative and qualitative analytical ability; strong communication and writing skills.


Characteristics of the Consultancy

Type of contract and modality: Products and External Services Contractual, Lump Sum

  • Length of contract: 100 non-consecutive days ending October 30, 2020.
  • Starting date: June 1, 2020.
  • Location: External Consultancy.
  • Responsible person: Ricardo Perez Cuevas (SPH/CJA) and Jennifer Nelson (SCL/SPH).
  • Requirements: You must be a citizen of one of the IDB’s 48-member countries and have no family members currently working at the IDB Group.


Our culture:

Our people are committed and passionate about improving lives in Latin-America and the Caribbean, and they get to do what they love in a diverse, collaborative and stimulating work environment. We are the first Latin American and Caribbean development institution to be awarded the EDGE certification, recognizing our strong commitment to gender equality. As an employee you can be part of internal resource groups that connect our diverse community around common interests.



The Bank is committed to diversity and inclusion and to providing equal opportunities to all candidates. We embrace diversity based on gender, age, education, national origin, ethnic origin, race, disability, sexual orientation, and religion. We encourage women, Afro-descendants and persons of indigenous origins to apply.


About us:

At the IDB, we’re committed to improving lives. Since 1959, we’ve been a leading source of long-term financing for economic, social, and institutional development in Latin America and the Caribbean. We do more than lending though. We partner with our 48-member countries to provide Latin America and the Caribbean with cutting-edge research about relevant development issues, policy advice to inform their decisions, and technical assistance to improve on the planning and execution of projects. For this, we need people who not only have the right skills, but also are passionate about improving lives.


Payment and Conditions:

Compensation will be determined in accordance with Bank’s policies and procedures. The Bank, pursuant to applicable policies, may contribute toward travel and moving expenses. In addition, candidates must be citizens of an IDB member country.


Visa and Work Permit:

The Bank, pursuant to applicable policies, may submit a visa request to the applicable immigration authorities; however, the granting of the visa is at the discretion of the immigration authorities. Notwithstanding, it is the responsibility of the candidate to obtain the necessary visa or work permits required by the authorities of the country(ies) in which the services will be rendered to the Bank. If a candidate cannot obtain a visa or work permit to render services to the Bank the contractual offer will be rescinded.


Consanguinity: You have no family members (up to fourth degree of consanguinity and second degree of affinity, including spouse) working at the IDB Group.


Our team in Human Resources carefully reviews all applications.